Baranov A A, Samsonov M I, Nasonov E L, Vachter H, Shilkina N P, Fuchs D, Salozhin K V
Medical Academy, Yaroslavl'.
Klin Med (Mosk). 1997;75(6):34-6.
Out of 12 patients with hemorrhagic vasculitis (HV) having the disease for 3-3.2 years (5 males and 7 females aged 18-55 years, mean age 34 +/- 13.8 years) renal affection was found in 3 (25%) patients. Renal function was normal in all the patients. One patient had nephrotic and two had mixed nephritis. One patient had gastrointestinal lesions. Serum neopterin was measured by radioimmunoassay. Mean concentration of serum neopterin was significantly higher than in donors (9.15 +/- 6.82 nmol/l and 5.2 +/- 2.1 nmol/l, respectively). A high neopterin level was found in 2 (67%) of 3 patients with nephritis and in 1(11%) of 9 patients free of nephritis. Mean neopterin was significantly higher in 3 patients with renal disorders than in the comparison group. A positive correlation existed between neopterin level and the clinical activity index, ESR, IgA, IgG CIC concentrations.
在12例患有出血性血管炎(HV)3至3.2年的患者中(5名男性和7名女性,年龄18至55岁,平均年龄34±13.8岁),3例(25%)患者发现有肾脏受累。所有患者的肾功能均正常。1例患者患有肾病,2例患有混合性肾炎。1例患者有胃肠道病变。采用放射免疫分析法测定血清新蝶呤。血清新蝶呤的平均浓度显著高于献血者(分别为9.15±6.82 nmol/L和5.2±2.1 nmol/L)。3例肾炎患者中有2例(67%)新蝶呤水平较高,9例无肾炎患者中有1例(11%)新蝶呤水平较高。3例肾脏疾病患者的平均新蝶呤水平显著高于对照组。新蝶呤水平与临床活动指数、血沉、IgA、IgG循环免疫复合物浓度之间存在正相关。